Entity Name: | HIGHLANDS COMPREHENSIVE CRITICAL CARE LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 24 Jan 2022 (3 years ago) |
Document Number: | L22000043146 |
FEI/EIN Number | 88-0546160 |
Address: | 3345 Medical Hill Road, SEBRING, FL, 33870, US |
Mail Address: | PO Box 7005, SEBRING, FL, 33872, US |
ZIP code: | 33870 |
County: | Highlands |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1154075026 | 2022-02-09 | 2022-11-10 | 4145 SUN N LAKE BLVD STE A, SEBRING, FL, 338722131, US | 4145 SUN N LAKE BLVD STE A, SEBRING, FL, 338722131, US | |||||||||||||||||||||||||||||||
|
Phone | +1 863-546-0030 |
Phone | +1 201-640-0696 |
Authorized person
Name | NANCY ESTHER HOLDER |
Role | TEAM LEADER |
Phone | 8635460030 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
Is Primary | Yes |
Taxonomy Code | 207RC0200X - Critical Care Medicine (Internal Medicine) Physician |
Is Primary | No |
Taxonomy Code | 207RN0300X - Nephrology Physician |
Is Primary | No |
Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
Is Primary | No |
Taxonomy Code | 207RS0012X - Sleep Medicine (Internal Medicine) Physician |
Is Primary | No |
Name | Role | Address |
---|---|---|
HOLDER NANCY | Agent | 3345 Medical Hill Road, SEBRING, FL, 33870 |
Name | Role | Address |
---|---|---|
HOLDER NANCY | Manager | 3345 medical hill road, SEBRING, FL, 33870 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G22000083634 | HIGHLANDS COMPREHENSIVE CARE | ACTIVE | 2022-07-14 | 2027-12-31 | No data | 4145 SUITE A SUN N LAKE BLVD, SUITE A, SEBRING, FL, 33872 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-09-16 | 3345 Medical Hill Road, SEBRING, FL 33870 | No data |
CHANGE OF MAILING ADDRESS | 2024-09-16 | 3345 Medical Hill Road, SEBRING, FL 33870 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2024-09-16 | 3345 Medical Hill Road, SEBRING, FL 33870 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-09-16 |
ANNUAL REPORT | 2023-01-17 |
Florida Limited Liability | 2022-01-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State